| NPI | 1891702304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0000296) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DE Q1-0000296) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2016-05-12 |